Individual
MS. ANITA GOLDMAN HORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 DEAN WAY, LAWRENCEVILLE, GA 30044-5835
(700) 979-0761
Mailing address
745 DEAN WAY, 745 DEAN WAY, LAWRENCEVILLE, GA 30044-5835
(770) 979-0761
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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